NPI | 1619285681 |
---|---|
Former Name | KELLY JO WILLIAMS SALERNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401019145) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401012128) |
Enumeration Date | 2010-09-23 |
Last Update Date | 2025-04-08 |